ALFONSO, EMMANUEL
NPI: 1831150150
· CITY OF INDUSTRY, CA 91744
· General Practice Dentistry
· NPI assigned 03/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
302 |
$4K |
| 2019 |
346 |
$5K |
| 2020 |
39 |
$649.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
115 |
115 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
362 |
185 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
137 |
137 |
$1K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$928.80 |
| D1120 |
Prophylaxis - child |
30 |
30 |
$900.00 |